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50 Cards in this Set
- Front
- Back
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ACUTE DIVERTICULITIS DIET
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LOW RESIDUE
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KG, LB AND LITTER CONVERSION
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2.2LBS = 1 KG
1 LITTER OF WATER = 1KG |
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HOW ARE THE FEEDING TUBE STARTED
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START AT LOW SLOW RATE AND FULL STRENGTH
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WHAT ARE THE pH VALUES TO IDENTIFY THE TUBE POSITION
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STOMACH pH (HIGHER IF ON CONTINUOUS TUBE FEEDING >5)
GREATER THAN 6, NASO INTESTITNAL > 6 MAY ALSO INDICATE PLEURAL FLUID |
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WHICH TYPE OF CLIENT WILL NEED TOTAL PARENTERAL NUTRITION
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CLIENTS WHO ARE UNABLE TO DIGEST OR ABSORD ENTERAL NUTRITION
MEANS: THEIR GI TRACT IS NOT INTACT |
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CLEAR LIQUID
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BROTH, BOUILLON, COFFEE, TEA, CARBONATED BEVERAGES, CLEAR FRUIT JUICES, GELATIN, AND POPSICLES
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WATER SOLUBLE VITAMINS
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VITAMIN C AND B COMPLEX
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OVERWEIGHT BMI
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25-30
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NORMAL BMI
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19-24
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OBESE BMI
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GREATER THAN 30
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CONVERSION 1LB AND ML
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1LB = 500ML
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SOFT/LOW RESIDUE DIET DIET
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LOW FIBER DIET +
EASILY DIGESTED FOOD SUCH AS: PASTA, CASEROLES, MOIST TENDER MEAT, CANNED COOKED FUITS AND VEGGIES DESERT: CAKES COOKIES WITHOUT NUT OR COCONUT |
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LOW CHOLESTEROL DIET EXAMPLES
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300MG/DAY CHOLESTEROL
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WHICH CLIENTS BENEFITS FROM PARENTERAL NUTRITION
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CLIENTS THAT CAN'T ABSORB ENTERAL NUTRIENTS
CLIENTS IN HIGHLY STRESSED PHYSIOLOGICAL STATES: SEPSIS, HEAD INJURY, BURNS |
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WHAT KIND OF FORMULAS FOR ENTERAL NUTRITION
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POLYMERIC
MODULAR FORMULA ELEMTENTAL FORMULA SPECIALTY FORMULA |
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PUREED DIETS
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CLEAR LIQUID + FULL LIQUID +
SCRAMBLED EGGS, PUREED MEAT, VEGGIES AND FRITS, MASHED POTATOES, AND GRAVY |
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FULL LIQUID DIET
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CLEAR LIQUIDS +
SMOOTH-TEXTURED DAIRY PRODUCTS (ICE CREAM) CUSTARDS, REFINED COOKED CEREALS, VEGGY JUICE, PUREED VEGGIES, AND ALL FRUIT JUICES |
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CLEAR LIQUID DIET EXAMPLES
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BROTH, BOUILLON, COFFEE, TEA, CARBONATED BEVERAGES, CLEAR FRUIT JUICES, GELATIN, POPSICLES
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HIGH FIBER DIET EXAMPLES
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ADDITIONAL FRESH UNCOOKED FRUITS, STEAMED VEGGIES, BRAN, OATMEAL, DRIED FRUITS
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LOW SODIUM DIET EXAMPLES
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VARIES FROM:
4 G (NO ADDED SALT) 2G, 1G OR 5000 SODIUM DIET |
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DIABETIC DIET EXAMPLES
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1800 CALORIES
BALANCED INTAKE OF CHO, FATS, AND PROTEIN |
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REGULAR DIET EXAMPLE
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NO RESTRICTION UNLESS SPECIFIED
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WHEN DO WE DO GASTRIC FEEDING ENTERAL NUTRITION
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WHEN:
LOW RISK OF GASTRIC REFLUX |
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WHEN DO WE DO JEJUNO FEEDING (EN)
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IF THERE IS RISK OF GASTRIC REFLUX
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FAT-SOLUBLE
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A-D-E-K
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POLYMERIC FORMULA
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1 TO 2 KCAL/ML
INCLUDE MILK BASED BLENDERIZED FOOD PREPARED BY HOSPITAL STAFF OR IN CLIENT'S HOME ALSO INCLUDE COMMERCIAL PREPARED NUTRIENT FORMULA GI TRACT NEEDS TO BE ABLE TO ABSRORD NUTRIENT |
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MODULAR FORMULA
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2.8-4 KCAL/ML
SINGLE MACRONUTRIENT (PROTEIN, GLUCOSE, LIPID) NOT NUTRITIONALLY COMPLETE ADDED TO OTHER FOODS FOR MEETING THE CLIENT'S INDIVIDUAL NEED |
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ELEMENTAL FORMULAS
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1.0 TO 3.0 KCAL/ML)
CONTAIN PREDIGESTED NUTRIENTS THAT ARE EASIER FOR PARTIALLY DYSFUNCTIONAL GI TRACT TO ABSORB |
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HOW OFTEN SHOULD YOU INCREASE THE RATE FOR TUBE FEEDING
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8-12HRS IF TOLERATED WELL
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SPECIAL FORMULA
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1-2KCAL/ML
DESIGNED TO MEET SPECIFIC NUTRITIONAL NEEDS IN CERTAIN ILLNESS |
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CONDITIONS THAT INCREASE ASPIRATION RISK
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COUGHING, NASOTRACHEAL SUCTIONING
ARTIFICIAL AIRWAY DECREASED LOC LYING FLAT |
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RECOMMENDATIONS REGARDING GRV
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1. STOP FEEDING IMMEDIATELY IF ASPIRATION OCCUR
2. WITHHOLD FEEDING AND REASSESS TOLERANCE IF GRV IS OVER 200ML FOR 2 SUCESSIVE MEASUREMENTS ROUTINELY EVALUATE THE CLIENT FOR ASPIRATION AND USE MEASUREMENTS TO PREVENT ASPIRATION IF GRV IS GREATER THAN 200ML |
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WHAT KIND OF DRESSING IS GOOD FOR PAINFUL WOUND AND HOW
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HYDROGEL
SOOTHING TO CLIENT DO NOT ADHERE TO THE WOUND BED DO NOT CAUSE TRAUMA DURING REMOVAL |
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ADVANTAGES OF HYDROGEL
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IS SOOTHING AND REDUCES PAIN IN THE WOUND
PROVIDES MOIST ENVIRONMENT DEBRIDES THE WOUND (BY SOFTENING THE NECROTIC TISSUE) DOES NOT ADHERE TO THE WOUND --> EASY TO REMOVE |
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PRESSURE FACTORS THAT CONTRIBUTE TO PRESSURE ULCER DEVELOPMENT
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INTENSITY
DURATION TISSUE TOLERANCE |
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FOR WHAT KIND OF WOUND IS ALGINATE AND FOAM DRESSING USED FOR?
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WOUNS WITH LARGE AMOUNT OF EXUDATE AND FOR WOUNDS THAT NEEDS PACKING
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WHAT DOES "REINFORCE DRESSING PRN" MEAN?
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ADD DRESSING WITHOUT REMOVING THE ORIGINAL ONE
COMMON AFTER SURGERY |
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NORMAL ADULT OUTPUT INDICATION OF RENAL ALTERNATION
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NORMAL 1500-1600ML/DAYRENAL ALTERATION LESS THAN 30ML/HR
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WHAT IS THE MAXIMUM TIME HYDROCOLLOID CAN STAY ON
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7 DAYS
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ADVANTAGES OF TRANSPARENT FILM DRESSING
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ADHERES WELLS TO UNDAMAGE SKIN
SEVERE AS BARRIER BUT STILL ALLOWS WOUND TO BREATH PROMOTES A MOIST ENVIRONMENT CAN BE REMOVED W/O DAMAGING TISSUE PERMIT VIEWING OF WOUND DO NOT REQUIRE SECONDARY DRESSING |
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WHERE IS HYDROCOLLOID MOST USEFUL?
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ON SHALLOW TO MODERATELY DEEP DERMAL ULCERS
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EXAMPLE OF CHRONIC WOUNDS
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DECUBITUS ULCER/PRESSURE ULCER
VENOUS STATIS WOUND ARTERIAL STATIS WOUND |
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TX FOR STAGE I ULCER
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TURN AND REPOSITION
KEEP SKIN DRY FROM INCONTINENCE APPLY SKIN MOISTURIZER TO BONY PROMINENCE BALANCE NUTRITION |
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TX FOR STAGE II ULCER
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HYDROCOLLOID DRESSING PROVIDES A MOIST ENVIRONMENT TO PROMOTE HEALING
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TX FOR STAGE III ULCER
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WET TO MOIST DRESSING (NORMAL SALINE) GAUZE DRESSING. HYDROCOLLOID
IF EXTENSIVE EXDUATE, CALCIUM ALGINATE |
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TX FOR STAGE IV ULCER
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WET TO MOIST DRESSING (NORMAL SALINE), GAUZE DRESSING. HYDROCOLLOID
IF EXTENSIVE EXDUATE --> CALCIUM ALGINATE |
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HOW WOULD YOU MEASURE A WOUND?
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LENGTH BY WIDE BY DEPTH
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WHAT IS THE CUT OFF NUMBER FOR THE BRADEN SCALE?
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18
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DESCRIBD SEROUS
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CLEAR, WATERY PLASMA
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HOW DOES THE HYDROGEL WORKS?
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HYDRATES WOUNDS AND ABSORDS SOME SMALL AMOUNTS OF EXUDATE
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